Top 50 HCA Hospitals by net patient revenue

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HCA Healthcare is one of the largest health systems in the country. Based in Nashville, TN, HCA Healthcare has a net patient revenue (NPR) of over $49 billion and staffs over 41,000 beds across its network. The integrated delivery network (IDN) is so large, in fact, that approximately 5% of all hospital services performed each year in the U.S. are delivered at an HCA facility.

What does HCA stand for?

In the context of this blog, HCA stands for the Health Corporation of America, which was founded in 1968. HCA Healthcare was one of the first health systems in the country and has since founded HCA hospital locations across 19 states and the United Kingdom.

Using Definitive Healthcare’s HospitalView product, we created a list of the top HCA hospitals in the U.S. ranked by net patient revenue (NPR), according to the most recent 12-month interval tracked in our database.

HCA hospitals with the highest net patient revenues

Rank HCA hospital name City State Net patient revenue
1 Methodist Hospital San Antonio TX $2,240,427,313
2 Mission Hospital - Memorial Campus Asheville NC $1,299,556,635
3 Medical City Dallas Dallas TX $1,270,843,810
4 TriStar Centennial Medical Center Nashville TN $991,819,243
5 Johnston-Willis Hospital Richmond VA $898,558,592
6 St Davids Medical Center Austin TX $870,913,402
7 Medical City Plano Plano TX $844,096,871
8 Sunrise Hospital & Medical   Center Las Vegas NV $799,753,918
9 HCA Houston Healthcare Kingwood Kingwood TX $733,805,066
10 Memorial Health University Medical   Center Savannah GA $708,414,367
11 Wesley Medical Center Wichita KS $701,739,542
12 HCA Florida Ocala Hospital Ocala FL $693,094,344
13 Swedish Medical Center Englewood CO $670,041,908
14 Riverside Community Hospital Riverside CA $654,082,783
15 Las Palmas Medical Center El Paso TX $652,953,274
16 HCA Florida JFK Hospital Atlantis FL $652,770,644
17 HCA Florida North Florida Hospital Gainesville FL $639,292,419
18 Henrico Doctors Hospital Richmond VA $636,683,418
19 Presbyterian/St Lukes Medical   Center Denver CO $624,967,442
20 HCA Houston Healthcare Clear Lake Webster TX $614,920,694
21 Trident Medical Center Charleston SC $611,528,371
22 Good Samaritan Hospital San Jose CA $610,750,351
23 St Davids North Austin Medical   Center Austin TX $600,590,770
24 MountainView Hospital Las Vegas NV $587,079,298
25 Grand Strand Medical Center Myrtle Beach SC $568,696,372
26 Sky Ridge Medical Center Lone Tree CO $558,278,045
27 Doctors Hospital of Augusta Augusta GA $546,375,150
28 HCA Florida Kendall Hospital Miami FL $541,234,879
29 Los Robles Health System - Los   Robles Regional Medical Center Thousand Oaks CA $536,910,422
30 St Marks Hospital Salt Lake City UT $525,425,802
31 HCA Florida Brandon Hospital Brandon FL $498,218,652
32 Research Medical Center Kansas City MO $488,523,518
33 HCA Florida Osceola Hospital Kissimmee FL $473,776,095
34 St Davids South Austin Medical   Center Austin TX $465,313,877
35 Medical City Arlington Arlington TX $459,180,284
36 HCA Florida Memorial Hospital Jacksonville FL $456,135,295
37 HCA Florida Lawnwood Hospital Fort Pierce FL $447,593,776
38 Parkridge Medical Center Chattanooga TN $440,237,749
39 Corpus Christi Medical Center -   Doctors Regional Corpus Christi TX $435,365,505
40 Overland Park Regional Medical   Center Overland Park KS $429,925,921
41 The Medical Center of Aurora Aurora CO $424,867,741
42 LewisGale Medical Center Salem VA $405,005,976
43 HCA Florida Orange Park Hospital Orange Park FL $398,782,396
44 HCA Florida Mercy Hospital Miami FL $388,123,857
45 HCA Florida West Hospital Pensacola FL $384,656,276
46 Regional Medical Center of San   Jose San Jose CA $375,781,525
47 The Womans Hospital of Texas Houston TX $375,602,811
48 HCA Florida Aventura Hospital Aventura FL $371,079,640
49 Eastern Idaho Regional Medical   Center Idaho Falls ID $370,518,612
50 HCA Florida Largo Hospital Largo FL $363,656,879

 Fig. 1 Data is from the Definitive Healthcare HospitalView product, according to the most recent 12-month interval tracked in our database. Data is from the July 2023 Medicare Cost Report release. Data is accurate as of August 2023.

Which HCA hospitals have the highest NPR?

Methodist Hospital in San Antonio, Texas ranks number one on our list of the top HCA hospitals with an NPR of over $2.2 billion. This facility has increased its NPR by 16.4% since its previously reported financial year and scores within the 98th percentile on Definitive Healthcare’s financial strength dashboard. Seen within HospitalView, the financial strength dashboard measures a hospital’s financial performance against other hospitals tracked in the Definitive Healthcare platform.

Mission Hospital - Memorial Campus comes in second on our list with an NPR of nearly $1.3 billion. This hospital is located in Asheville, North Carolina, and has increased its NPR by 2.6% since its previously reported financial year. This hospital is another strong performer against its peers, as it also ranks in the 95th percentile on Definitive Healthcare’s financial strength dashboard.

Rounding out the top three is Medical City Dallas in Dallas, Texas. This facility has an NPR of more than $1.2 billion and has seen its NPR grow 13.2% since its previously reported financial year. This facility also ranks in the 95th percentile on Definitive Healthcare’s financial strength dashboard and is rated at the time of publishing as the Best Hospital in Texas by U.S. News and World Report.

How many HCA hospitals are in the United States?

Currently, HCA Healthcare operates 214 hospitals across 19 states and the United Kingdom, making it the largest health system in the country. However, HCA also operates hundreds of other healthcare organizations, such as ambulatory surgery centers, physician groups, imaging centers, and more.

We’ve broken them down for you in the graph below:


From the graph, we can see that HCA operates more urgent care centers than any other type of healthcare facility, with 284 locations across the U.S. Imaging centers are just as numerous with 259 locations.

HCA Healthcare is currently the largest health system in the country by net patient revenue, number of hospitals, and total hospital square footage. As a result, HCA has had a significant influence on healthcare in the U.S. for the last several years.

Learn more

Healthcare Insights are developed with healthcare commercial intelligence from the Definitive Healthcare platform. Want even more insights? Start a free trial now and get access to the latest healthcare commercial intelligence on hospitals, physicians, and other healthcare providers.

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